Diet to Lifestyle LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

DIET TO LIFESTYLE LLC

Practice address

145 Governors SQ Ste a
Peachtree City, GA 30269-4861

Phone

(706) 431-5757

Fax

(866) 732-4010

NPI assigned

Apr 6, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Lamura Alyn Poore, MS, RDN, LD

Title

Owner

Phone

(304) 437-3031

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1554508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631145600000",
    "number": "1922560044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5863 EL SEGUNDO WAY",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303497519",
            "fax_number": "866-732-4010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 GOVERNORS SQ STE A",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302694861",
            "telephone_number": "706-431-5757",
            "fax_number": "866-732-4010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIET TO LIFESTYLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-06",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A",
        "authorized_official_last_name": "POORE",
        "authorized_official_first_name": "LAMURA",
        "authorized_official_middle_name": "ALYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-437-3031",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, RDN, LD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Duke Desgain, RPH
• Develop-Mental Support Services
• Nikita Dewitt, LPC
• Ashley Marie Diamond
• Melina Paola Diaz-Cardenas, M.D.
• Nwamaka Dike, MD
• Dinma Medical Group, P.a.
• Megan Elizabeth Diquattro, PSY,D
• Mae Dixon, NP
• Afia Sarkodee Dodoo

• Registered Dietitian in Peachtree City, GA
• Providers in Peachtree City, GA by specialty
• Registered Dietitian in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.